[HSF] Sacral aneurysm of the descending aorta

[Tea Acuff]

That might be an interesting experience if there is still swab-able Salmaonella.

tea


----- Original Message ----
From: Prasanna Simha M <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Friday, December 7, 2007 4:17:40 PM
Subject: Re: [HSF] Sacral aneurysm of the descending aorta

Saccualar aneurysms have a higher propensity to rupture (due to eccentric
force transmission) and need to be resected. Do as Roberto says if the
patient is old and atherosclerotic. If young and pliable a patch can do. I
have had quite a few cases with post Salmonella infection so ifthe case is
young  do take swabs (They may be negative as the initial typhoid infection
may have been weeks ago and weakend the wall and healed).I have patched
these cases after opening the sac successfully. If the aorta is thick and
atherosclerotic doing what Roberto says will be wiser. If you have an
endoluminla graft capability then that may also be a good optioon. In fact
Frank Veith says that it should be the procedure of choice now and surgery
only if there is a failure of stent graft in the upper thoracic aorta.

On Dec 7, 2007 4:01 AM, Mitch Lirtzman <drmitch at cox.net> wrote:

> Do you mean "saccular"? At 04:36 PM 12/6/2007, you wrote:
> >To forum members,
> >
> >I have a patient with 3cm sacral aneurysm of the descending aorta. I have
> >not seen much data on these patients. Anybody has good reference about
> the
> >nature history of sacral aneurysm of the descending aorta?
> >
> >Thanks!
> >
> >Z Zhou
> >
> >
> >Sent via BlackBerry by AT&T
> >
> >-----Original Message-----
> >From: Donald Ross <donross at bigpond.com>
> >
> >Date: Thu, 6 Dec 2007 16:21:32
> >To:OpenHeart-L at lists.hsforum.com
> >Subject: Re: [HSF] Acute abdomen plus unstable LM stenosis
> >
> >
> >70yr male with unremarkable past history presented with acute abdomen
> >and rest angina. ( WCC 20,000 )
> >Urgent cath showed subtotal LM, 90% LAD, normal dominant RCA, good LV
> >function.
> >Balloon placed and emergent cabg ( opcab rima to LAD and lima to OM.)
> >Laparotomy next day revealed dead colon which was successfully
> >resected but patient fading fast with septic shock despite
> >haemofiltration.
> >
> >Q1. Cause of dead gut in the absence of AF or infarct?
> >Q2. Timing of laparotomy : before, during or sooner after cabg?
> >Don
> >_______________________________________________
> >OpenHeart-L mailing list
> >
> >Send postings to:
> >  OpenHeart-L at lists.hsforum.com
> >
> >To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> >http://mmp.cjp.com/mailman/listinfo/openheart-l
> >
> >All messages transmitted by the OpenHeart-L are subject to the policies
> and
> >disclaimers posted at:
> >http://www.hsforum.com/listdisclaim
> >-----------------------------------------
> >_______________________________________________
> >OpenHeart-L mailing list
> >
> >Send postings to:
> >  OpenHeart-L at lists.hsforum.com
> >
> >To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> >http://mmp.cjp.com/mailman/listinfo/openheart-l
> >
> >All messages transmitted by the OpenHeart-L are subject to the policies
> and
> >disclaimers posted at:
> >http://www.hsforum.com/listdisclaim
> >-----------------------------------------
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
>  OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies
> and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>



-- 
Prasanna Simha M
_______________________________________________
OpenHeart-L mailing list

Send postings to:
OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and 
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------